Individual
JAMES THEODORE GARRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2901 FALK RD, VANCOUVER, WA 98661-6392
(360) 313-1000
Mailing address
2130 SW CAMELOT CT APT 69, PORTLAND, OR 97225-3765
(971) 284-6321
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
61271128
WA
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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